HRT: the best solution to perimenopausal problems?

HRT: the best solution to perimenopausal problems?

The main treatment offered for women during perimenopause are artificial hormones.  These come most often in the form of Hormone Replacement Therapy (HRT) or the contraceptive pill.

HRT promises to balance your unruly hormones, and thereby fix all those horrible symptoms: the hot flushes, night sweats, mood swings . . . 

You can go here to find more info on the different kinds or HRT: https://www.nhs.uk/conditions/hormone-replacement-therapy-hrt/types/.

Nowadays people are also talking about Bioidentical HRT.  Bioidentical means that they are chemically and structurally identical to our own hormones.    

This may sound like it’s a natural and safe option, but in reality, they are still synthetic hormones. 

There is evidence that HRT and the pill have serious side effects: increased risk of breast cancer, stroke, and cardiovascular disease.  

These risks are often downplayed and the benefits overstated. (You can see news of a recent study here: https://www.bbc.co.uk/news/health-49508671).

But for now I’m not going to go any deeper into the evidence for or against artificial hormones.  

I want to explore whether these artificial hormones are the only option, and is it necessarily a good one?*

I also want to look at what these artificial hormones are doing to our physical, emotional and spiritual being.

Transitions, Rhythms and Control

The menopause transition period (including pre-, peri- and post-menopause) is daunting.  

Any major transition in life is scary and as humans we don’t like to be out of our comfort zone very much!  

Think back to your first period (menarche), and all the changes we had to deal with, both physically and emotionally!

Modern medicine has done a great job in disconnecting us from our natural rhythms.  It has even turned normal life transitions into diseases that must be treated with synthetic medicines.  

In fact, our whole reproductive cycle has been hijacked by modern medicine. We let artificial hormones control our periods, our fertility, our childbirth, our pelvic health, and the end of our periods! 

What this tells most women is that our bodies are not good enough, they need to be fixed.  

Messing around with hormones is not a good thing!  

Our hormonal system is all interconnected  

If you’ve been reading my posts and blogs, you know how the thyroid, adrenal and sex hormones are linked together. 

Any changes in them also affect insulin and hunger hormones, our sleep hormones, and many more!  

But our hormones are also interconnected with our emotional and spiritual being.  

Are artificial hormones disconnecting us from the emotional and spiritual transition we need to make in perimenopause? 

Do we want to become wise and powerful women in our post-menopausal years?  

If so, then we need to deal with and heal all the emotional and spiritual crap that we have accumulated in our lifetime.  

Artificial hormones disconnect us from the physical expression of these emotional issues.  If we can’t recognise the problems then we are not going to deal with them!  

By letting synthetic hormones control us, they are also disconnecting us from ourselves. 

Symptoms are messages 

Perimenopausal symptoms are usually messages.  Our bodies are telling us that we need to looking inward and start rediscovering our intuition and inner wisdom.   

How can we do that when we are disconnected?  

This not only happens at perimenopause — it happens all throughout our reproductive years. 

PMS, irregular periods, ovarian cysts, postnatal depression – these are all physical signs that something needs to be healed. 

If we suppress these symptoms with artificial hormones, it is likely our physical symptoms will be worse when perimenopause comes along.

And if you are taking HRT, once you come off it, these issues will still be there.  So many women coming of HRT report that all those horrible symptoms do come back again! 

What are the alternatives? 

Do you want to truly step into our full power and potential post-menopause?  Then you really need to consider whether taking HRT will be of benefit in the long run.

Unfortunately, modern medicine doesn’t give us many alternative options.  

But if you look outside the box, into complementary and alternative treatments, there are so many things that you can try.  

There are many wonderful herbs out there that have been used for thousands of years to great effect.  

There are many foods and supplements you can take to help you balance your hormones.

And of course, homeopathy and flower essences are just amazing because they get to the root of the problems and help us heal our body, mind and spirit.  

If you want to now more about how homeopathy can help you to manage and relieve perimenopausal symptoms, please get in touch! I’m here for you. Book a free 15 minute call with me to see how I can help!  

* This may not apply to women who are on HRT due to premature or abrupt menopause (due to surgery or illness), and who may need to take these hormones as their bodies cannot produce enough on their own.  And I’m not berating anyone who has chosen to take HRT or artificial hormones and done their research and decided that is the best course of action for them. If you are happy with your choice, then that’s absolutely fine, and your right to do so!! My main objective here is to highlight the fact that we are usually not given many other choices when HRT is not suitable or necessary, and the risks and negative aspects of it are downplayed or not even considered at all.

Insomnia during Perimenopause

Insomnia during Perimenopause

How has your sleep been lately?  

Mine has been terrible! I’ve also heard from friends or clients that their sleep has been atrocious!  

I love sleep, so this is not good for me!  

Then I read a few articles recently saying that many people are finding it hard to sleep well during lockdown – so I thought maybe that’s it! 

I have to confess that my stress levels have been higher than normal.  

There’s just too many things on my plate at the moment – my girls at home all the time, I’ve been homeschooling them, husband is working from home, I seem to be cooking non-stop… Not to mention the political lockdown situation and all that goes with that!  

I’m also working and getting busier and trying to fit that into my spare hours, which is usually in the evenings and later at night! And we all know what blue light does to our sleep, right?  

Combining all this with perimenopause, it’s a wonder I sleep at all!

Insomnia and trouble sleeping is actually quite common during perimenopause.

And the reasons are varied and unique to you.

Maybe you get hot flushes and night sweats, or are prone to anxiety and panic attacks.

Eating too many refined and processed foods or not exercising enough.

Or you are exposed to too much blue light in the evenings. 

Often our liver is overtaxed, and that can also have a big impact….

During perimenopause we are in a transition period for our sleeping patterns.  

We may need more sleep now, like in our teenage years, and then once we are in proper menopause we may need less.

So don’t feel guilty if you feel you need to sleep more!!

Now, let’s talk about STRESS. 

This is what is I think is the main thing getting to me at the moment. 

Stress in not all bad, it is there to motivate us and help us when we are in danger and to survive. One of the main hormones involved in this is CORTISOL.

Cortisol is there to wake us up and give us energy in the morning and during the day.   By evening it should decrease, giving way to melatonin to help us wind down and go to sleep.

The problem starts when we are constantly stressed. Our cortisol levels are constantly on a high, making it much harder to go to sleep. 

During perimenopause, our adrenal glands (which produce cortisol) also need to help out with estrogen production, and if they are already over-stressed… well you can see where I’m going with this! It’s a wonder we ever sleep at all!!

This is probably where my problem lies at the moment.  It is just hard to get away from stress at the moment, isn’t it?  

And remember me mentioning the liver? 

I reduced my alcohol intake to 1-2 glasses a week, and now am sleeping so much better.

Sleep is so important for our health and well being. It is especially so during perimenopause because we need that recovery time for our hormones that are naturally all over the place. 

We also need it to reduce stress and recharge our energy levels.

If we don’t get enough we can be more prone to inflammation and therefore more at risk of heart disease, diabetes, and other related conditions.

Homeopathy can help get you better sleep during perimenopause, especially if it’s stress or anxiety related. Feel free to book a free 15 minute discovery call to see if I can help you!

Has your perimenopausal anxiety been worse during lockdown?

Has your perimenopausal anxiety been worse during lockdown?

During these interesting times, it wouldn’t be surprising if your anxiety has gone through the roof!!  

There are very real reasons for our anxieties at the moment, but some have also been hyped up by the media.  

If you are in the middle of perimenopause, your anxiety has been likely worse than usual, and that was bad enough! 

Let’s have a little deeper look at why we are so prone to anxiety during perimenopause.  

Anxiety is actually one of the most common symptoms during perimenopause.  It’s usually is the type of anxiety that is disproportionate to the situation. You seem to worry about everything and anything!  

This anxiety can easily lead us to experiencing panic attacks, which can be quite scary. 

Everything seems overwhelming.  You can’t even make a decision without breaking into a sweat of worry and panic.  

So, what is going on within us that is causing all this?

Fluctuations in our hormones, have a major part to play in this.  Especially progesterone levels.

Progesterone is a calming hormone.  When its levels start to decrease in perimenopause, we can feel worried and anxious about any little thing.  

Perimenopause is the time when our past unresolved emotional traumas come to the fore.  It is natural that we start feeling anxious much more easily. It is our body’s way of telling us we need to resolve something.  

In more normal times, this is likely the main reason why we get so anxious during perimenopuase.  Have a deeper look into what is making you anxious and panicky.  Those seemingly little things are usually a standing in front of a bigger thing that keeps calling you to be resolved.  

At this moment in time, however, I can see that our cortisol and adrenaline levels are the ones causing most of this mayhem.  

Cortisol and adrenaline are our survival hormone. It takes precedence over all the others. They are produced when we are in perceived danger, it’s our flight or fight hormone.  

We have all been feeling in some sort of danger these last few weeks – from the virus, from losing our freedom, from our inability to see friends and family, from being in financial hardship, from the probability of losing our livelihoods…  the list can go on…

If these two hormone is overflowing due to stress, they will create imbalance in all the others. Including progesterone, our calming hormone.  

It’s no wonder we are all feeling super anxious.  We’ve got anxiety coming at us from the external stresses and fear being thrown at us every day for the past 2 months.  And we are also getting it from the  hormonal imbalances that result from it.

So what can you do to feel more calm?

Some simple things you can easily do right now include avoiding alcohol and caffeine, and taking time to exercise and to rest as well.  

Nutritionally some vitamin B6 and magnesium could help, as they calm your nervous system. 

If you feel your anxiety is too much, out of proportion or persistent, or you are having a difficult time dealing with it, then do try to get help.  

EFT, meditation, mindfulness and counselling may be very helpful in this instance.  

Homeopathy and flower essences are also amazing in these situations.  

Please don’t let yourself get mired in your anxiety. I am here to help. 

I’m offering free 15 minute chats to all my clients, to talk about how you are doing, and help you feel calmer and more at peace.

Please get in touch if you want to know how I can help you. Email me at homeopathy@stephaniethullen.com.  

What is Perimenopause??

What is Perimenopause??

So we’ve all pretty much heard about the menopause, right? That time in a woman’s life when we stop menstruating, and we get lots of horrible symptoms because of it – hot flashes, extreme mood swings, weight gain…

Would it surprise you to know that most of the symptoms we relate to the menopause actually happen before you get the menopause, during the time called Perimenoapuse?

I didn’t know about this until recently either!

So let’s get some facts straight.

The menopause is the time when our ovaries have stopped releasing eggs and our periods end. Basically, you are officially in menopause a year after your periods stop completely. That means zero periods, no spotting, nothing.

Now usually this is not a sudden thing, from one day to the next. For most women, there is a slower, longer process, and this all starts with the perimenopause.

The term perimenopause means “around” or “near” the menopause. This transition period can last between 8 to 10 years before we stop menstruating. Most women start this process around their mid 40s, but it can affect some women as early as in their mid to late 30s! During this time your periods become a bit erratic, some are lighter or heavier, you skip some, then sometimes you get 2 in a month!

If you look at the list of symptoms of the perimenopause, you may be surprise to see some that you only thought you’d get when you hit the menopause!

Symptoms can include:

  • Hot flushes
  • Night sweats
  • Palpitations
  • Irregular/erratic periods
  • Heavy periods
  • Breast tenderness
  • Headaches and migraines
  • Bloating and other digestive issues
  • Weight gain
  • Fibroids
  • Mood swings, especially irritability and anxiety.
  • Anxiety or depression
  • Brain fog
  • Insomnia or other sleep disturbances
  • Fatigue and lack of energy
  • Low libido
  • Urinary tract infections
  • Vaginal dryness
  • Skin issues

I have a suspicion that many women in their mid-30s to mid-40s have no idea that some of their uncomfortable symptoms could actually be due to the perimenopause and then spend years suffering or taking medications or treatments that don’t really do anything or may actually make things worse.

Is it too little oestrogen?  or it is the progesterone?

Although it is commonly believed that this is the time when oestrogen levels fall, they are actually quite stable or even increase. Oestrogen doesn’t start to decrease until about a year after your periods stop (or the menopause, as we’ve just learned!).

It is actually the progesterone levels that do start decrease at this time, which then causes an imbalance with oestrogen, leading to oestrogen dominance.

It is this excess oestrogen in our bodies that is the major factor for many of the symptoms above, and when you add factors like stress or high insulin levels, then more oestrogen is produced, creating even worse symptoms.

I’ve just been reading Dr. Christiane Northrup’s Wisdom of the Menopause (amazing book, I recommend you to read it if you can!), and from her holistic perspective, it is not just our hormones that are solely responsible for causing all these symptoms – there is much evidence that unresolved long-term emotional stress is what worsens hormonal imbalance and thus worsens these symptoms.

I really resonate with this as that is what I see in homeopathy all the time, and not just with hormonal issues. Physical symptoms and ailments will usually have an unresolved emotional issue behind them.

What can we do about these symptoms?

First of all, remember, perimenopause is a normal part of our reproductive lives. Your body is winding down its production of eggs, so it is normal that hormone levels will fluctuate, and you may get some uncomfortable symptoms sometimes.

If perimenopausal symptoms are very uncomfortable and are starting to affect your everyday life in a negative way, then start doing some of these things:

  • Try to eat a nutrient-dense diet, with more healthy fats (avoid all trans-fats/hydrogenated fats!) and protein and less refined and starchy carbohydrate content. Aim to choose carbohydrates that are higher in fibre, so that blood sugar levels don’t spike and fall rapidly, leading to blood sugar imbalance. Having higher insulin levels in your system will exacerbate symptoms of excess oestrogen. Also make sure you are getting enough omega fats and magnesium in your diet.
  • Flaxseeds are an amazing food during perimenopause – they are a great source of omega-3 fats and high in fibre, and contain lignans, which are great for regulating our hormones!
  • Reduce caffeine, alcohol, and refined sugars (I know this is hard!!!).
  • Stop smoking!
  • Drink 1.5 to 2 litres a day of clean, filtered water. This will help getting rid of excess toxins (including excess oestrogen!), and will help with digestion, headaches, hot flushes, and dry skin symptoms.
  • Exercise regularly doing something that you really enjoy and look forward to – whether it is yoga, running, walking, zumba, weights, cross-fit, or my favourite – pole dancing and aerial arts!. High intensity and weight-bearing exercise is particularly beneficial. Just choose something you love doing so you keep doing it! In addition to its benefits in weight loss or maintenance, keeping fit in a fun way will help your sleep, lift your mood, even alleviate hot flushes!.

 

If these things are not enough, then homeopathy and essences can really help. There are many remedies that will alleviate symptoms, and of course, it will help you address any unresolved emotional issue that may be exacerbating these symptoms. I may talk about these remedies in another blog, so keep checking in or sign up to my newsletter!

If your hormonal symptoms are affecting your everyday life more than you’d like, then feel free to get in touch to see if homeopathy can help. I offer a free 30-minute call where we can chat about how homeopathy can help you and see if we can work together. ​

Hormonal Imbalance in Women

Hormonal Imbalance in Women

There seems to be a growing silent epidemic of hormonal problems among women – this includes thyroid problems, breast and ovarian cancers, precocious puberty, PCOS, and severe menopausal and menstrual symptoms, among many.

​Why is this happening?

What are Hormones?

Hormones are the chemical messengers that control all the functions in our body, from our circadian rhythm, metabolism, growth, stress responses, blood sugar balance and energy, as well our sexual function and reproduction.

Hormones include cortisol, adrenaline, melatonin, oestrogen, progesterone, testosterone, and insulin, among many, many others.

All these hormones are interconnected and work together, and if one or more go out of balance, the whole system could become imbalanced.

What are the symptoms of hormonal imbalance in women?

In terms of hormonal imbalance specifically related to women, the symptoms and conditions can include:

  • Poor sleep and insomnia
  • Weight gain or loss
  • Mood swings, anxiety and depression
  • Infertility
  • Irregular and painful periods
  • Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD)
  • Fatigue and exhaustion
  • Digestive issues
  • Low libido
  • Breast tenderness or pain
  • Acne and other skin issues
  • Brain fog and memory lapses
  • Headaches and migraines
  • Joint pain
  • Fibroids
  • Endometriosis
  • Polycystic Ovarian Syndrome (PCOS)

Why is this happening?

There are times in our life when we as women will naturally get imbalance with our reproductive hormones, such as puberty, pregnancy, whilst breastfeeding, as well as perimenopause and menopause. This is normal.

However, sometimes this imbalance can be more extreme and/or prolonged than it should be and it starts to negatively affect our everyday lives. It seems that more and more women are suffering with severe PMS, menopausal symptoms, infertility, and it’s even affecting girls; it is now common that menarche (a girl’s first period) occurs as young as 8 or 9 years old, whereas it wasn’t like this even 30 years ago, where the norm was more like 12-13 years old or even older.

Since the functions of all hormones are interrelated, it is not surprising that with our increasingly stressful and hectic lives, as well as our chronic exposure to toxicity from our environment and food, that our hormones don’t work the way they are supposed to!

Let’s just take chronic stress, probably the biggest factor. When we are constantly stressed out we secrete too much cortisol, the stress hormone that is produced in our adrenal glands.

Too much cortisol can in turn lead to increases in oestrogen; excess oestrogen is the main culprit for all sorts of hormonal symptoms, many of them listed above; it is even one of the factors in developing breast cancer (though it doesn’t necessarily mean you will!).

Another big factor is the toxic substances in our environment. Some of these chemicals are what are called xenoestrogens or endocrine disruptors. These chemicals mimic oestrogen and can cause imbalance in our hormonal system.

Xenoestrogens are present in non-organic foods, skincare products, plastics, paint, cleaning products, car fumes, water supply, birth control, and disposable menstrual products. They are basically everywhere! It’s no wonder our hormonal systems are all out of whack!

What can you do about it? 

Aiming to eat more organic foods, avoiding conventional household and skincare products and replacing them with more natural options, managing our stress better – all these things will help.

Take baby steps and be kind to yourself; it can be overwhelming to change everything at once, and even then it is still difficult to avoid everything and be perfectly calm and mindful all the time.

Each of us is unique; we have different lifestyles and challenges, so our hormonal imbalances will affect us in different ways. Some of us will get the mood swings and weight gain and low libido, whilst other may get the breast tenderness and headaches.

This is why I love homeopathy for hormonal imbalance – every single prescription is tailored to your unique symptoms and situation.

If your hormonal symptoms are affecting your everyday life more than you’d like, then feel free to get in touch to see if homeopathy can help. I offer a free 30-minute call where we can chat about how homeopathy can help you and see if we can work together.